This is not the official reporting template of the WRI/WBCSD GHG Protocol. It is a sample template meant to help outline the reporting requirements of the GHG Protocol Corporate Standard. Greenhouse Gas Emissions Inventory [COMPANY NAME] [INVENTORY YEAR] COMPANY LOGO Has this inventory been verified by an accredited third party? No Yes (if yes, fill in verifier contact information below and attach verification statement) Date of verification: MM/DD/YYYY Verifier: Email: Phone: Address: REQUIRED INFORMATION Have any facilities, operations and/or emissions sources been excluded from this inventory? If yes, please specify. Reporting period covered by this inventory From MM/DD/YYYY to MM/DD/YYYY OR G A NI ZA T IO NA L BO U N DAR IE S Which consolidation approach was chosen (check each consolidation approach for which your company is reporting emissions.) If your company is reporting according to more than one consolidation approach, please complete and attach an additional completed reporting template that provides your company’s emissions data following the other consolidation approach(es). Equity Share Financial Control Operational Control OPE R A TI O NA L BO U N D AR IE S Are Scope 3 emissions included in this inventory? yes no If yes, which types of activities are included in Scope 3 emissions? IN FO R MA T IO N O N E MI S SIO N S The table below refers to emissions independent of any GHG trades such as sales, purchases, transfers, or banking of allowances TOTAL CO2 CH4 N2O HFCs PFCs SF6 EMISSIONS (mtCO2e) (mt) (mt) (mt) (mt) (mt) (mt) Scope 1 Scope 2 Scope 3 (OPTIONAL) Direct CO2 emissions from Biogenic combustion (mtCO 2 ) B ASE YE A R Year chosen as base year Clarification of company-determined policy for making base year emissions recalculations Context for any significant emissions changes that trigger base year emissions recalculations Base year emissions EMISSIONS TOTAL (mtCO2e) CO2 (mt) CH4 (mt) N2O (mt) HFCs (mt) PFCs (mt) SF6 (mt) Scope 1 Scope 2 Scope 3 (OPTIONAL) ME TH OD O LO GIE S A N D E MI S SI O N FA C TOR S Methodologies used to calculate or measure emissions other than those provided by the GHG Protocol. (Provide a reference or link to any non-GHG Protocol calculation tools used) Optional Information OR G A NI ZA T IO NA L BO U N DAR IE S List of all legal entities or % equity share in facilities over which reporting legal entity company has equity share, financial control or operational control Does reporting company have financial control? (yes/no) Does reporting company have operational control? (yes/no) If the reporting company’s parent company does not report emissions, include an organizational diagram that clearly defines relationship of the reporting subsidiary as well as other subsidiaries IN FO R MA T IO N O N E MI S SIO N S Emissions disaggregated by source types Scope 1: Direct Emissions from Owned/Controlled Operations a. Direct Emissions from Stationary Combustion b. Direct Emissions from Mobile Combustion c. Direct Emissions from Process Sources d. Direct Emissions from Fugitive Sources e. Direct Emissions from Agricultural Sources Scope 2: Indirect Emissions from the Use of Purchased Electricity, Steam, Heating and Cooling a. Indirect Emissions from Purchased/Acquired Electricity b. Indirect Emissions from Purchased/Acquired Steam c. Indirect Emissions from Purchased/Acquired Heating d. Indirect Emissions from Purchased/Acquired Cooling Emissions disaggregated by facility (recommended for individual facilities with stationary combustion emissions over 10,000 mtCO2e) Facility Scope 1 emissions Emissions disaggregated by country Country Emissions (specify Scopes included) Emissions attributable to own generation of electricity, heat, or stem that is sold or transferred to another organization Emissions attributable to the generation of electricity, heat or steam that is purchased for re-sale to nonend users Optional Information Emissions from GHGs not covered by the Kyoto Protocol (e.g., CFCs, NOx,) Information on the causes of emissions changes that did not trigger a base year emissions recalculation (e.g., process changes, efficiency improvements, plant closures) GHG emissions data for all years between the base year and the reporting year (including details of and reasons for recalculations, if appropriate) Relevant ratio performance indicators (e.g. emissions per kilowatt-hour generated, sales, etc.) An outline of any GHG management/reduction programs or strategies AD DI T IO NA L I N FOR MA TI O N Information on any contractual provisions addressing GHG-related risks and obligations An outline of any external assurance provided and a copy of any verification statement, if applicable, of the reported emissions data. Information on the quality of the inventory (e.g., information on the causes and magnitude of uncertainties in emission estimates) and an outline of policies in place to improve inventory quality Information on any GHG sequestration IN FO R MA T IO N O N O F F SE T S Information on offsets that have been purchased or developed outside the inventory boundary Were the offsets verified/certified Quantity of GHGs (mtCO2e) Type of offset project and/or approved by an external GHG program (e.g., CDM) Information on reductions inside the inventory boundary that have been sold/transferred as offsets to a third party. Were the offsets verified/certified Quantity of GHGs (mtCO2e) Type of offset project and/or approved by an external GHG program (e.g., CDM)